ILLINOIS INSTITUTE OF TECHNOLOGY - VENDOR APPLICATION FORM

The addition of a new vendor to the IIT Vendor Database is a controlled process that starts with a vendor approaching IIT directly (self nomination) or an IIT employee nominating a vendor of a desired good or service. While IIT encourages the identification of new vendors that may offer a competitive advantage for its buying needs, we also strive to limit the number of vendors. Completion of this form does not mean that you will be added to IIT's Vendor Database, only considered for addition.

Vendors are added to the IIT Vendor Database ONLY when awarded their first purchase contract. Applications from vendors not added to the IIT Vendor Database will be discarded after one year from date of submission.

To be considered for nomination, a vendor must:

* Complete this new vendor application, answering all questions;* Agree to the University's Terms and Conditions as posted at the IIT Purchasing website;* If chosen to work on-site at IIT, meet IIT's Insurance requirements;* Submit the properly executed application and any additional documents that may be required, directly to IIT Purchasing.

IIT Purchasing will not unreasonably decline a request to add a new vendor, however, it reserves the right to do so if:

* Adding the vendor is not in IIT's best interest;* The vendor is excluded from conducting business with the U.S. Government;* The food or service is already available from a vendor with a current IIT preferred contract.

Federal Tax Identitification Number (EIN) or Social Security Number (SSN)

This is a required question

Is your company excluded from doing business with the U.S. Government?

Yes

No

This is a required question

Section II: Vendor Diversity Information

IIT is committed to socially responsible purchasing practices that support local community based and diversity owned businesses. We appreciate your assistance by indicating your diversity and/or small business classification below:

Asian

African American

Women Owned

Hispanic

Veteran

Small Business

Native American

Service Disabled Veteran

Physically Challenged

Other:

This is a required question

If indicating classification as any of the diversity categories listed above, indicate the certifying agency or organization for your business (Minority Business Enterprise Council, Department of Transportation, or Small Business Administration, etc)

Name of Certifying Agency:

This is a required question

Certification Expiration Date:

This is a required question

I, the undersigned as an authorized representative of the company listed above, agree to the Illinois Institute of Technology Purchase Order Terms and Conditions referenced herein and certify that the information provided by Illinois Institite of Technology is current and accurate.